关于定义小肠道克朗氏病的SAR共识建议 在CT和MR肠道学上严格的狭窄性
Bari Dane1, Jonathan R Dillman2, Jeff Fidler3
1Department of Radiology, NYU Langone Health, 660 1st Ave, New York, NY 10016.
Radiology
|July 15, 2025
概括
新的指导方针有助于更早地识别克罗恩病的狭窄性. 更新的成像定义有助于及时诊断和管理这些常见的肠道缩小并发症.
科学领域:
- 胃肠病学 胃肠病学
- 放射学 放射学是一门学科.
- 病理学 病理学 病理学
背景情况:
- 克罗恩氏病经常导致狭窄,导致肠道狭窄.
- 大多数患有狭窄症的患者需要干预,这突出了需要准确诊断的必要性.
- 目前对狭窄的成像定义不一致,可能会错过某些病例.
研究的目的:
- 审查克罗恩病狭窄组织病理学,成像定义和管理.
- 为小肠克罗恩病狭窄症提供最新的成像定义和建议.
- 改善克罗恩病狭窄的及时识别和管理.
主要方法:
- 由腹部放射学学会的专家和胃肠病学/病理学专家共同制定共识.
- 关于克罗恩病狭窄组织病理学,成像和管理的当前文献的综述.
- 建立小肠缩的最新成像标准. 克罗恩病.
主要成果:
- 建议对克罗恩氏病小肠狭窄的定义进行修订.
- 新定义使用2.5厘米的扩张值 (以前是3.0厘米).
- 失败的内镜通道现在被纳入,即使没有CT/MR肠道图扩张.
结论:
- 更新的成像定义旨在提高克罗恩病中狭窄的识别.
- 这些变化预计将促进更早,更有效的患者管理.
- 改进的诊断标准可以为克罗恩病狭窄症患者带来更好的结果.
相关概念视频
Inflammatory Bowel Disease V: Surgical Management
221
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
221
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
148
This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
148
Assessment of the Rectum and Anus
411
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
411
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
426
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
426
Inflammatory Bowel Disease II: Crohn's Disease
392
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
392
Esophageal Strictures-II: Clinical Features and Management
161
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
161


